• Title/Summary/Keyword: Community Mobility

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Family Nursing Phenomena of High-risk and Frail Older Persons in the Community using the International Classification for Nursing Practice (ICNP (International Classification for Nursing Practice)를 이용한 재가 고위험 허약 및 허약 노인들의 가족간호현상)

  • So, Ae Young;Nam, Eun Woo;Shin, Dong Eun
    • Journal of muscle and joint health
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    • v.28 no.2
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    • pp.152-160
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    • 2021
  • Purpose: This study, using the International Classification for Nursing Practice, aimed to identify the phenomenon of family nursing care, and the factors affecting it, for high-risk and frail older persons who have a significant need for home healthcare services. Methods: This study was conducted using secondary data collected by students who interviewed 93 healthcare subjects in a health center. The data was used to analyze the general characteristics, health-related characteristics, and confirmed problems of family nursing phenomena of the subjects. Independant t-test, Pearson correlation coefficient, and multiple linear regression were used for the data analysis. Results: The mean age of the subjects was 82.4±6.3 years. The most common problem of the family nursing phenomenon were unhealthy lifestyle, disturbance in family communication, and lack of family interaction in the community. People with greater family nursing phenomenon problems reported a higher degree of frailty and depression, lower quality of life and self-rated health. The factors that influence the family nursing phenomenon of frail older persons are the problems of mobility and hearing. Conclusion: Physical and psychological problems associated with aging can cause not only personal, but family functional problems as well. Therefore, a comprehensive family-oriented support program is required.

Effects of Tai Chi Exercise in Elderly with Knee Osteoarthritis (슬골관절염 노인환자의 타이치운동 효과)

  • Lee, Hea-Young;Lee, Keum-Jae
    • Journal of Korean Academy of Nursing
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    • v.38 no.1
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    • pp.11-18
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    • 2008
  • Purpose: This study was to determine whether the Sun-style 24 forms of Tai Chi exercise improve pain, stiffness, disability, knee joint motion, mobility, balance or falling. Method: Forty-six community-dwelling elderly subjects (mean age, $75.46{\pm}6.28$) voluntarily participated in an intervention group of either 24 forms of Sun-style T ai Chi for 60 min, 2 times per week for 12 weeks or a control group. A non-equivalent pretest-posttest design was used. Independent t-test and ANCOVA were used to examine group differences by using SPSS12.0. Result: The experimental group had significantly less pain (F=7.60, p=.008) and stiffness (t=-3.19, p=.003) than the control group. Also there were significant improvements in knee joint motion on the right knee (t=2.44, p=.019), left knee (t=2.30, p=.026), rising time (F=8.03, p=.07), balance on the left single leg test (t=2.20, p=.033), and fear of falling (t=-2.33, p=.024) in the Tai Chi exercise group. No significant group differences were found in disability and falls efficacy. Conclusion: The Sun-style 24 forms Tai Chi exercise is effective in decreasing pain, stiffness, fear of falling and it improves balance, rising time, and knee joint motion. We suggest a continuing long term intervention to decrease disability and increase efficacy concerning falls.

Reviews of Rural In-Migration Studies and Its Practical Implications (도시민 농촌이주에 대한 주요쟁점과 시사점)

  • Lee, Min-Soo;Park, Duk-Byeong
    • Journal of Agricultural Extension & Community Development
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    • v.18 no.1
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    • pp.1-33
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    • 2011
  • In-migration has long been recognized as on important factor in rural development. Its impact can be expected to increase even further as the elderly population continues to grow. Recently with the retirement of baby boomers, postretirement moves have become increasingly important issue in rural Korea. Because the consequences of rural in-migration are often most pronounced at the local or regional level, rural planners are among the many scholars and practitioners seeking to understand the patterns and consequences of in-migration. At the same time, however, planners have sometimes overlooked basic research on the causes and determinants of mobility, and on the relationships between retirement migration and other socioeconomic processes. The papers aims to explore the reviews of rural in-migration studies and its practical implications, providing an interdisciplinary review of the most important studies published between 1990-2009. Through the literature review of in-migration, this study suggests that main arguments for rural in-imgration studies such as rural populations, counterurbanization, rural businesses incubator and rural amenity be emphasized to vitalize and diversify rural economies.

Suicidal Ideation and Risk Factors among the Elderly in Korea (노인의 자살 생각과 위험요인)

  • Kim, Hyun-Kyung;Ko, Sung-Hee;Chung, Seung-Hee
    • Journal of Korean Public Health Nursing
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    • v.24 no.1
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    • pp.82-92
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    • 2010
  • Purpose: This study aimed to identify the incidence and risk factors of suicidal ideation among the elderly in Korea. Methods: This cross-sectional study used secondary data of the 2005 Korean National Health and Nutrition Examination Survey. The participants were 1,097 elderly Koreans who responded to the health survey. Sociodemographics, health related characteristics, and the prevalence of suicidal ideation were obtained through face-to-face interviews. Risk factors of the suicidal ideation were also examined. Descriptive statistics and multivariate logistic regression were used for data analysis. Results: Of the 1,097 respondents, 30.5% had suicidal ideation during the past year. Depression and stress were the important risk factors; others included mobility, pain/discomfort, chronic illness, smoking, sleep, and leisure time physical activity. Sociodemographic characteristics such as gender, education, and marital status affected suicidal ideation. Conclusion: The high frequency of suicidal ideation in the elderly suggests the necessity of community-based interventions directed at depression and stress.

Functional Improvement Following Revision Surgery in a Patient with the Dual Disability of a Complicated Residual Limb and Contralateral Hemiplegia: A Case Report

  • Byun, Ki Hyun;Yang, Dong Seok;Jang, Baek Hee
    • The Journal of Korean Physical Therapy
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    • v.30 no.5
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    • pp.199-203
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    • 2018
  • The number of reported cases with dual disability is increasing for the past few decades. Currently, dual disability of lower limb amputation and motor weakness after stroke became a strong issue in public concern. The functional levels of patients have shown in the wide range from independent community ambulation to non-ambulation. Thus, it indicates that favorable outcomes for dual disability may depend upon adopted rehabilitative strategies. We present the case of a man with left below-knee amputation and severe right-sided weakness following a huge putaminal hemorrhage. He had suffered from extreme pain and misfit of the prosthetic socket and the complicated residual limb for three years prior to the stroke. Forty days post-stroke, we performed a revision surgery to resolve the complications of bony overgrowth, verrucous hyperplasia, and neuroma and applied an ankle foot orthosis (AFO). Two years post-stroke, he was able to ambulate outside his home and negotiate stairs using a cane. This is the first case with the dual disability of lower limb amputation and contralateral hemiplegia to undergo revision surgery. The results suggest that an early revision surgery and use of an AFO are crucial for achieving a higher level of mobility in such cases.

OBPF: Opportunistic Beaconless Packet Forwarding Strategy for Vehicular Ad Hoc Networks

  • Qureshi, Kashif Naseer;Abdullah, Abdul Hanan;Lloret, Jaime;Altameem, Ayman
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.10 no.5
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    • pp.2144-2165
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    • 2016
  • In a vehicular ad hoc network, the communication links are unsteady due to the rapidly changing topology, high mobility and traffic density in the urban environment. Most of the existing geographical routing protocols rely on the continuous transmission of beacon messages to update the neighbors' presence, leading to network congestion. Source-based approaches have been proven to be inefficient in the inherently unstable network. To this end, we propose an opportunistic beaconless packet forwarding approach based on a modified handshake mechanism for the urban vehicular environment. The protocol acts differently between intersections and at the intersection to find the next forwarder node toward the destination. The modified handshake mechanism contains link quality, forward progress and directional greedy metrics to determine the best relay node in the network. After designing the protocol, we compared its performance with existing routing protocols. The simulation results show the superior performance of the proposed protocol in terms of packet delay and data delivery ratio in realistic wireless channel conditions.

Factors Affecting the Extent of Economic Empowerment of Women in Farm Households: Experiences from Rural Bangladesh

  • Parveen, Shahnaj;Leonhauser, Ingrid-Ute
    • International Journal of Human Ecology
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    • v.9 no.2
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    • pp.117-126
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    • 2008
  • The study identifies gender stereotypes, examines the level of women's economic empowerment at the household level and explores the influence of factors on it. Data were collected from 159 randomly selected farm women using both qualitative and quantitative survey methods between January and March 2007 from three villages of the Mymensingh District of Bangladesh. Four key informants (2 local leaders and 2 development personnel) were questioned to elicit views in the light of boosting women's empowerment. Five constructs of empowerment covering 30 indicators were aggregated together to develop a cumulative economic empowerment index (CEEI) to obtain multidimensional views of women's empowerment. The findings show that there were some prejudices against women in allocating divisions of labour and access to education, food, property, decision-making and institutions. The distribution of the CEEI demonstrates that the majority of the respondents (86%) had a low to moderate level of empowerment. A multiple regression analysis showed positive significant effects of education, training, media contact and freedom of mobility on women's CEEI, while domestic abuse restrained it. It is concluded that interventions by development agencies in co-ordination with the local community was necessary to attain women's self-reliance in the study area. Development actors can undertake some core strategies to enhance women's level of awarencess, knowledge, skills, and productive resources through providing training, loans, and information. To change traditional beliefs, it is important to create awareness of various gender issues amongst rural people through different methods and media.

Effects of Dynamic Balance Training on Pain, Physical Function, and Balance Ability in Patients with Chronic Knee Osteoarthritis (동적 균형 훈련이 만성 슬관절 관절염 환자의 통증, 신체 기능과 균형 능력에 미치는 영향)

  • Bang, Dae-Hyouk;Bong, Soon-Young
    • PNF and Movement
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    • v.16 no.1
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    • pp.105-113
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    • 2018
  • Purpose: The aim of this study was to explore the effects of dynamic balance training on pain, physical function, and dynamic balance in individuals with knee osteoarthritis. Methods: Fourteen patients with knee osteoarthritis participated in this study. The patients were randomly assigned to two groups: an experimental group (n=7) or a control group (n=7). All the patients took part in a lower extremity strength program for 30 min. In addition, the experimental group participated in a 30-min dynamic balance program. Both groups performed the program five times a week for 3 weeks. Outcomes, including the numeric rating scale (NRS), Western Ontario and MacMaster Universities Arthritis Index (WOMAC), and Community Balance and Mobility Scale (CB&M), were measured at baseline and after 3 weeks. Results: Both groups showed pre-to-post intervention improvements on all outcome measures (p<0.05). The experimental group showed a significant improvement in WOMAC (p = 0.00; Z = -2.82) and CB&M (p = 0.03; Z = -2.20) scores after the intervention as compared with those of the control group. Conclusion: The results revealed that dynamic balance training improved physical function, as well as balance ability, in patients with knee osteoarthritis as compared with that of a control group with no balance training.

Quality of Life, Frailty and Depression in Elderly in Rural Area (일부 농촌 지역 노인의 허약수준, 우울, 건강 관련 삶의 질)

  • Kang, Hee Gyoung
    • Journal of Korean Academy of Rural Health Nursing
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    • v.12 no.1
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    • pp.13-27
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    • 2017
  • Purpose: The purpose of this study is to identify health-related factors, especially for the elderly who are subject to visiting health care at vulnerable populations. Methods: Tools were Guide to Community Integrated Health Promotion Project 2016, Visit Health Care Health Interview Survey, measures of physical function, motor skills, composite mobility, BMI, and subjective fitness levels. Depression was measured with the Short Results: Older elders living alone were more vulnerable than those with living others. Elders with less education showed greater weakness but the difference was not significant. Average scores for frailty were 2.21 (healthy group), 7.66 (high-risk group) and 15.69 (frail group). Scores based on weakness level differed significantly with the exception of nutrition. Nine out of 10 elders in disadvantaged areas were in the frail group or at high risk. Conclusion: Results support the goal to maintain/improve physical/mental functions through individual management of high-risk/frail older adults at risk of becoming infirm. It is imperative to implement a public health care delivery system to ensure programs are operated effectively and personalized.

A Study on the Characteristics of Healing Space of Children Medical Facilities -Focused on the behavioral affordance based on the theory of Rudolf Steiner and Max L$\ddot{u}$scher (어린이 의료시설의 치유공간적 특성에 관한 연구 -루돌프슈타이너와 막스 뤼셔의 이론에 근거한 행태지원성을 중심으로)

  • Kim, Hye-Yeon;Kim, Kwang-Ho
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.16 no.2
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    • pp.37-45
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    • 2010
  • This study is the analysis of characteristics of hospital space for the holistic healing environment of children on the basis of the healing theory on emotion of Max L$\ddot{u}$scher and the healing theory on senses of Rudolf Steiner of the overseas children's hospitals. According to the theory of Rudolf Steiner, children make comprehensive advancement of physical, spirit and soul through the interaction of 12 senses. In addition, Max Luscher asserts that the psychological health can be maintained when the 4 emotional status in content, confidence, self-esteem and liberty make the balance. The 4 elements of Luscher have correspond with spatial expression elements for refuge, flow, prospect and void, and this is analyzed in conjunction with the eight kinds of behavior affordance of ying and yang (-, +) that helps our the advancement of 12 senses of Steiner. WORK & STUDY(+), REST(-), MOBILITY(+), VISUAL SEQUENCE(-), SOCIAL EXCHANGE(+), REFRESHMENT(-), COMMUNITY(+) and MEDITATION (-) would be the 8 kinds of behavioral affordances to make the healing environment as presented in this study and the case analysis for children's hospitals have been undertaken.